{"id":9194,"date":"2024-06-06T01:50:57","date_gmt":"2024-06-06T01:50:57","guid":{"rendered":"https:\/\/tcmdrma.com\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e6%b8%a9%e7%97%85%e6%96%b9%e6%b2%bb%e7%96%97%e4%b8%a4%e4%be%8b%e6%96%b0%e5%86%a0%e7%97%85%e6%af%92%e6%84%9f%e6%9f%93\/"},"modified":"2025-05-09T10:54:04","modified_gmt":"2025-05-09T00:54:04","slug":"%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e6%b8%a9%e7%97%85%e6%96%b9%e6%b2%bb%e7%96%97%e4%b8%a4%e4%be%8b%e6%96%b0%e5%86%a0%e7%97%85%e6%af%92%e6%84%9f%e6%9f%93","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e3%80%90%e5%8c%bb%e6%a1%88%e3%80%91%e6%b8%a9%e7%97%85%e6%96%b9%e6%b2%bb%e7%96%97%e4%b8%a4%e4%be%8b%e6%96%b0%e5%86%a0%e7%97%85%e6%af%92%e6%84%9f%e6%9f%93\/","title":{"rendered":"\u3010\u533b\u6848\u3011\u6e29\u75c5\u65b9\u6cbb\u7597\u4e24\u4f8b\u65b0\u51a0\u75c5\u6bd2\u611f\u67d3"},"content":{"rendered":"

某患者，女，40余岁，亚裔，主诉为新冠病毒阳性。她和她的丈夫同另一家人聚餐后，对方发现确诊新冠后通知她，她马上进行自测为新冠阳性，其丈夫自测为阴性。刻下她症状轻微，没有发烧，没有咳嗽，身体疲乏，嗓子不适，腹痛，大便粘，小便正常，舌淡红苔薄白，口微渴。网诊，故无脉象信息。<\/p>\n

此为温病的极早期，从温病的卫气营血四个阶段来分析，仅出现少量的卫分病的症状，同时在舌还未显示热像。予温病方轻剂三剂。并远程指导进行拔罐辅助治疗。<\/p>\n

患者第二天反馈服药之后头天晚上腹痛排出大便，第二天精神大好，开始有些咳嗽，舌象未见有进一步化热迹象，说明病邪未深入。同时，患者反馈其丈夫开始发热，但是检测一直是阴性。这种情况下，虽然检测阴性，但显然非常高的概率也是被传染了新冠病毒。<\/p>\n

患者，男，40余岁，亚裔，主要症状包括高烧38℃，嗓子干痛，扁桃体肿，全身酸痛，自觉又冷又热，无汗，不咳，头胀，没有明显口渴。舌尖红，舌质略红。可见该患者已经到了显著的卫分病的阶段。没有大汗，不渴，说明没有从卫分转到气分的变化发生，是一个纯卫分的问题。予温病方三剂。<\/p>\n

反馈当天晚上服用后，第二天烧已退。<\/p>\n

再过两日跟踪，男患者反馈已无其他不适，只剩轻微咳嗽，但是觉得口渴想喝凉水，但“大的劲儿”已经过去了。这说明病已经转好，但是还有少量余热未清，故而表现出了口渴。女患者反馈还有少量鼻塞，轻微咳嗽，余无不适。因症状轻微，患者未要求继续治疗。<\/p>\n

从两个患者的治疗情况来看，几乎同时感染，治疗一前一后，女方在卫分病极早期介入，出现了一些典型症状，但是整个过程症状一直非常轻微，说明病邪一直控制在早期而未深入；男方是在典型的卫分病阶段进行治疗，症状之缓解也非常迅速，病程也没有进一步深入到气分。因后来没有持续用药，故而最后还是留了一个小尾巴。女方还有轻微的表证存在，男方则有少量余邪化热进入气分。一般这些轻微症状会自行缓解消失。<\/p>\n

 <\/p>\n

注意：中医根据个体差异所采取的治疗手段和治疗效果亦有差异，医案分享不构成治疗建议。<\/p>\n

\n

医案编号：067<\/p>\n","protected":false},"excerpt":{"rendered":"

某患者，女，40余岁 […]<\/p>\n","protected":false},"author":1,"featured_media":9195,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[76],"tags":[],"class_list":["post-9194","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-76"],"acf":[],"uagb_featured_image_src":{"full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever.jpg",900,563,false],"thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-150x150.jpg",150,150,true],"medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-300x188.jpg",300,188,true],"medium_large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-768x480.jpg",768,480,true],"large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever.jpg",900,563,false],"1536x1536":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever.jpg",900,563,false],"2048x2048":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever.jpg",900,563,false],"blog-large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-669x418.jpg",435,272,true],"blog-medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-320x200.jpg",320,200,true],"recent-posts":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-700x438.jpg",700,438,true],"recent-works-thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-66x41.jpg",66,41,true],"fusion-200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-200x125.jpg",200,125,true],"fusion-400":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-400x250.jpg",400,250,true],"fusion-600":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-600x375.jpg",600,375,true],"fusion-800":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-800x500.jpg",800,500,true],"fusion-1200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever.jpg",900,563,false],"portfolio-full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever.jpg",639,400,false],"portfolio-one":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-540x338.jpg",435,272,true],"portfolio-two":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-460x288.jpg",460,288,true],"portfolio-three":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-300x188.jpg",300,188,true],"portfolio-five":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-177x111.jpg",177,111,true],"woocommerce_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-500x313.jpg",500,313,true],"woocommerce_single":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-700x438.jpg",700,438,true],"woocommerce_gallery_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/fever-100x100.jpg",100,100,true]},"uagb_author_info":{"display_name":"Max Ma","author_link":"https:\/\/tcmdrma.com\/zh-hans\/author\/tcmdrma-com\/"},"uagb_comment_info":0,"uagb_excerpt":"某患者，女，40Ë…","_links":{"self":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9194","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/comments?post=9194"}],"version-history":[{"count":1,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9194\/revisions"}],"predecessor-version":[{"id":13885,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9194\/revisions\/13885"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media\/9195"}],"wp:attachment":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=9194"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=9194"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=9194"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}